Organization
PULMONARY MEDICINE CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIJO D SHUNTICH (CHIEF OPERATING OFFICER)
(330) 758-7575
Entity
Organization
Contact information
Practice address
925 TRAILWOOD DR, YOUNGSTOWN, OH 44512-5008
(330) 758-7575
(330) 758-1833
Mailing address
925 TRAILWOOD DR, YOUNGSTOWN, OH 44512-5008
(330) 758-7575
(330) 758-1833
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0736538
—
OH
01
—
258785
BLACK LUNG
OH
01
—
34161789700
BWC
OH
Enumeration date
04/19/2007
Last updated
01/24/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us